Journal ArticleDOI
Access, Affordability, And Insurance Complexity Are Often Worse In The United States Compared To Ten Other Countries
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Signaling the lack of timely access to primary care, adults in the United States and Canada reported long waits to be seen in primary care and high use of hospital emergency departments, compared to other countries.Abstract:
The United States is in the midst of the most sweeping health insurance expansions and market reforms since the enactment of Medicare and Medicaid in 1965. Our 2013 survey of the general population in eleven countries—Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States—found that US adults were significantly more likely than their counterparts in other countries to forgo care because of cost, to have difficulty paying for care even when insured, and to encounter time-consuming insurance complexity. Signaling the lack of timely access to primary care, adults in the United States and Canada reported long waits to be seen in primary care and high use of hospital emergency departments, compared to other countries. Perhaps not surprisingly, US adults were the most likely to endorse major reforms: Three out of four called for fundamental change or rebuilding. As US health insurance expansions unfold, the survey offers benchmark...read more
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American Society of Clinical Oncology Statement: A Conceptual Framework to Assess the Value of Cancer Treatment Options
Lowell E. Schnipper,Nancy E. Davidson,Dana S. Wollins,Courtney Tyne,Douglas W. Blayney,Diane Blum,Adam P. Dicker,Patricia A. Ganz,J. Russell Hoverman,Robert M. Langdon,Gary H. Lyman,Neal J. Meropol,Therese M. Mulvey,Lee N. Newcomer,Jeffrey Peppercorn,Blase N. Polite,Derek Raghavan,Gregory Rossi,Leonard B. Saltz,Deborah Schrag,Thomas J. Smith,Peter Paul Yu,Clifford A. Hudis,Richard L. Schilsky +23 more
TL;DR: The high costs associated with cancer care have created a difficult situation for patients and the oncologists who care for them and will require greater understanding of all the risks and benefits of various treatment options as well as the consequences of specific choices.
Netherlands: Health System Review.
Madelon Kroneman,Wienke G.W. Boerma,van den Berg M,Peter P. Groenewegen,de Jong J,van Ginneken E +5 more
TL;DR: In this paper, the authors present an analysis of the Dutch health system, focusing on recent developments in organization and governance, health financing, healthcare provision, health reforms and health system performance.
Journal ArticleDOI
Inequality and the health-care system in the USA
Samuel Dickman,David U. Himmelstein,David U. Himmelstein,Steffie Woolhandler,Steffie Woolhandler +4 more
TL;DR: This report focuses on how the health-care system, which could reduce income-based disparities in health, instead often exacerbates them and additional reforms that move forward, rather than backward, from the ACA are sorely needed.
Journal ArticleDOI
Levers for addressing medical underuse and overuse: achieving high-value health care
Adam G Elshaug,Meredith B. Rosenthal,John N. Lavis,John N. Lavis,Shannon Brownlee,Harald Schmidt,Somil Nagpal,Peter Littlejohns,Divya Srivastava,Sean R. Tunis,Vikas Saini +10 more
TL;DR: A range of levers for eliminating medical underuse and overuse are investigated, some of which could operate effectively (and be politically viable) across many different health and political systems whereas other levers must be tailored to local contexts.
References
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Journal ArticleDOI
New 2011 Survey Of Patients With Complex Care Needs In Eleven Countries Finds That Care Is Often Poorly Coordinated
TL;DR: There is a need for improvement in all countries through redesigning primary care, developing care teams accountable across sites of care, and managing transitions and medications well, and the United States in particular has opportunities to learn from diverse payment innovations and care redesign efforts under way.
Journal ArticleDOI
How Health Insurance Design Affects Access To Care And Costs, By Income, In Eleven Countries
TL;DR: Significant differences in access, cost burdens, and problems with health insurance that are associated with insurance design are found in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United States, and the United Kingdom.
Journal ArticleDOI
A Survey Of Primary Care Doctors In Ten Countries Shows Progress In Use Of Health Information Technology, Less In Other Areas
Cathy Schoen,Robin Osborn,David Squires,Michelle M. Doty,Petra W. Rasmussen,Roz Pierson,Sandra Applebaum +6 more
TL;DR: An international survey of primary care doctors in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Switzerland, the United Kingdom, and the United States found progress in the use of health information technology in health care practices, but a high percentage ofPrimary care physicians in all ten countries reported that they did not routinely receive timely information from specialists or hospitals.
Journal ArticleDOI
Europe’s Strong Primary Care Systems Are Linked To Better Population Health But Also To Higher Health Spending
TL;DR: Comparative primary care data collected in 2009-10 showed that strong primary care was associated with better population health; lower rates of unnecessary hospitalizations; and relatively lower socioeconomic inequality, as measured by an indicator linking education levels to self-rated health.
Journal ArticleDOI
The (paper) work of medicine: understanding international medical costs.
David M. Cutler,Dan P. Ly +1 more
TL;DR: The results of a decomposition of healthcare spending along these lines in the United States and in Canada are presented and the organization of primary and chronic disease care is touched upon and possible gains in that area are discussed.